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1265853386
CHARLES WESLEY BRISON
HARAHAN, LA
NPI
1265853386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: LA LT2721)
Enumeration Date
2013-12-16
Last Update Date
2013-12-16
Business Address
Mr. CHARLES WESLEY BRISON LRTT
5745 PLAUCHE CT SUITE 2
HARAHAN, LA 70123-4119
Phone number: 504-734-0334
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Mailing Address
Mr. CHARLES WESLEY BRISON LRTT
5745 PLAUCHE CT SUITE 2
HARAHAN, LA 70123-4119
Phone number: 504-734-0334
Copy
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